Bladder Management in Patients With Pediatric Onset Neurogenic Bladders
| العنوان: | Bladder Management in Patients With Pediatric Onset Neurogenic Bladders |
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| المؤلفون: | Virginia S. Nelson, Ward Mj, Van Hala S, Bloom Da, Hurvitz Ea, Panzi A |
| المصدر: | The Journal of Spinal Cord Medicine. 20:410-415 |
| بيانات النشر: | Informa UK Limited, 1997. |
| سنة النشر: | 1997 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Meningomyelocele, Adolescent, Latex, Pediatric onset, Urinary system, Catheterization, Drug Hypersensitivity, Humans, Medicine, Age of Onset, Urinary Bladder, Neurogenic, Child, Spinal cord injury, Spinal Cord Injuries, Urinary bladder, business.industry, Incidence, Incidence (epidemiology), Infant, Clean Intermittent Catheterization, medicine.disease, Surgery, Catheter, medicine.anatomical_structure, Child, Preschool, Insurance, Health, Reimbursement, Urinary Tract Infections, Female, Neurology (clinical), Age of onset, Urinary Catheterization, business |
| الوصف: | Our objective was to determine which clean intermittent catheterization (CIC) methods and supplies were used by patients with pediatric onset neurogenic bladders and to relate methodology and materials to reported urinary tract infections. Data were collected via questionnaires distributed by mail and at clinic visits at our university tertiary care outpatient pediatric rehabilitation clinic. Questionnaires were given to 165 patients. Fifty-nine percent were returned (68 patients with myelomeningocele, 27 with pediatric onset spinal cord injury (SCI) and two with other diagnoses). Mean age was 12 years (range 1-27). Fifty-four percent of patients participated in their own CIC. Only two percent used sterile catheterization technique, whereas 98 percent used CIC. A sterile catheter was employed with clean technique by 22 percent. Catheters were reused by 76 percent. Subjects used a wide ranging number of catheters per month, with a median of 5.3. There was no correlation between the number of urinary tract infections (UTIs) per year and the type of catheter used or the use of prophylactic antibiotics. Compared with patients with myelomeningocele, subjects with SCI were significantly more likely to use sterile catheters (p = 0.04), > 10 catheters per month (p = 0.01) and gloves (p < 0.001). Subjects who used gloves or more catheters were more likely to experience UTI. These data suggest that clean reused supplies are not related to an increased likelihood of UTI and should be considered a way to lower costs in these populations. |
| تدمد: | 2045-7723 1079-0268 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::101a83803e54f11add4569e1b98fa482 https://doi.org/10.1080/10790268.1997.11719499 |
| رقم الأكسشن: | edsair.doi.dedup.....101a83803e54f11add4569e1b98fa482 |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 20457723 10790268 |
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